Related Experiment Video

Updated: Aug 10, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
08:49

Murine Ileocolic Bowel Resection with Primary Anastomosis

Published on: October 29, 2014

Timing of postoperative infections after colectomy: evidence from NSQIP

Matthew Z Wilson1, Peter W Dillon1, David B Stewart1

  • 1Department of Surgery, The Pennsylvania State University, College of Medicine, 500 University Drive, Hershey, PA 17033, USA.

American Journal of Surgery
|May 10, 2016
PubMed

Insights

Risk factors for surgical site infections after colon surgery vary between inpatient and postdischarge periods. Obesity and smoking significantly increase infection risk, especially after patients leave the hospital.

Area of Science:

  • Surgical outcomes research
  • Infectious disease epidemiology
  • Colorectal surgery

Background:

  • Infectious complications are a concern following colon surgery.
  • Understanding risk factors is crucial for patient management.

Purpose of the Study:

  • To compare risk factors for infectious complications during inpatient (IP) and postdischarge (PD) periods in colon surgery patients.
  • To identify specific risk factors that change in significance between IP and PD phases.

Main Methods:

  • Analysis of partial colon resection patients from the National Surgical Quality Improvement Program (2005-2010).
  • Identification of risk factors for superficial surgical site infections (SSI), deep SSI (D-SSI), and urinary tract infections (UTIs).
  • Comparison of risk factors across IP and PD care phases.

Main Results:

  • Obesity significantly increased the risk of superficial SSI and D-SSI in both IP and PD periods, with higher odds in the PD phase.
  • Smoking was associated with D-SSI, with a notably increased risk in the PD period compared to the IP period.
  • Risk factors for infections were found to differ between the inpatient and postdischarge phases of care.

Conclusions:

  • The risk factors contributing to infectious complications in colon surgery patients are distinct for inpatient and postdischarge periods.
  • Earlier hospital discharge may lead to a shift in the recognition of surgical site infections to the outpatient setting.
  • This highlights the need for continued surveillance and management of infections in the postdischarge period.
Abstract

Keywords:
ColectomyOutcomesRisk factorsSurgical site infection

More Related Videos

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center07:48

Intraoperative Video Consultation Following Bile Duct Transection Facilitates Direct OR Transfer for Robotic Hepaticojejunostomy at Tertiary Center

Published on: January 9, 2026

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection06:46

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

Published on: January 9, 2026

Related Concept Videos

Factors Affecting the Risk of Infection01:26

Factors Affecting the Risk of Infection

The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin create...
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...